althazar score is used in CT severity index (CTSI) for grading of acute pancreatitis.

CTSI includes
grading of pancreatitis (A-E) and the extent of pancreatic necrosis.

CTSI
Grading of pancreatitis

A: normal pancreas: 0

B: enlargement of pancreas: 1

C: inflammatory changes in pancreas and peripancreatic fat: 2

D: ill defined single fluid collection: 3

E: two or more poorly defined fluid collections: 4

Pancreatic necrosis

none: 0

less than/equal to 30%: 2

>30-50%: 4

>50%: 6
The maximum score that can be obtained is 10.

Stratification of pancreatitis severity

mild pancreatitis (interstitial pancreatitis): Balthazar B or C , without pancreatic or

extrapancreatic necrosis

intermediate (exudative pancreatitis): Balthazar D or E, without pancreatic necrosis;

peripancreatic collections are due to extrapancreatic necrosis
severe pancreatitis (necrotising): with pancreatic necrosis
Necrosis of the pancreas, visualised best on contrast enhanced CT as non-enhancing areas, is
considered to represent severe pancreatitis.